Active NPI
Nathan C McKellar, DO
- Family Medicine Physician
- Taylorsville, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9335759-1204
- Practice address
- 3845 W 4700 S
Taylorsville, UT 84129-3454 - Phone
- (801) 840-2000
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9335759-1204 | UT | Primary |
Addresses
Primary practice location
3845 W 4700 S
Taylorsville, UT 84129-3454
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 840-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150513002385 | UT | Practitioner - Family Practice | 2567376668 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
181 E Medical Tower Dr
Murray, UT 84107-4872
Phone (801) 314-7750
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Mercy Medical Center-Centerville | Past | Accepting new patients |
Locations
12473 S Minuteman Dr
Draper, UT 84020
Phone (801) 495-7900
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
454 E Medical Way
Heber City, UT 84032
Phone (435) 654-2500
6272 S Highland Dr
Murray, UT 84121
Phone (801) 871-6000
390 N Main St
N Salt Lake, UT 84010
Phone (801) 294-1000
1750 Sidewinder Dr
Park City, UT 84060
Phone (435) 649-7640
3723 W 12600 S
Ste 150
Riverton, UT 84065
Phone (801) 285-4560
181 E Medical Tower Dr
Salt Lake City, UT 84107
Phone (801) 314-4266
9450 S 1300 E
Sandy, UT 84094
Phone (801) 501-2133
389 S 900 E
Slc, UT 84102
Phone (385) 282-2000
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
2655 W 9000 S
West Jordan, UT 84088
Phone (801) 256-6343
3845 W 4700 S
West Valley City, UT 84129
Phone (801) 840-2020
5373 W Lake Park Blvd
West Valley City, UT 84120
Phone (801) 902-7940
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1669498069
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Emergency Care Clinic/Center
- Centerville, IA
- NPI 1528018801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455235200000",
"number": "1508844853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-840-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 W 4700 S",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841293454",
"telephone_number": "801-840-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELLAR",
"first_name": "NATHAN",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2016-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "9335759-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.